2010
DOI: 10.1155/2010/917626
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Gossypiboma: Retained Surgical Sponge after a Gynecologic Procedure

Abstract: We report on a case of gossypiboma. A 54-year-old woman was admitted to our hospital with abdominal mass. She had undergone a caesarean operation 23 years previously. The mass in the right abdominal quadrant was suspected by abdominal computed tomography and magnetic resonance imaging. The mass was removed by laparotomy excision and the final diagnosis was gossypiboma.

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Cited by 18 publications
(13 citation statements)
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“…Generally surgical sponges have radiopaque markers that facilitate detection with standard radiography; however, in some institutions, sponges without these markers are still being used decreasing the chance of detection of gossypibomas by direct radiography and even by abdominal CT (10). The absence of such a marker in our case contributed to the confusion in the radiologic diagnosis.…”
Section: Discussionmentioning
confidence: 81%
“…Generally surgical sponges have radiopaque markers that facilitate detection with standard radiography; however, in some institutions, sponges without these markers are still being used decreasing the chance of detection of gossypibomas by direct radiography and even by abdominal CT (10). The absence of such a marker in our case contributed to the confusion in the radiologic diagnosis.…”
Section: Discussionmentioning
confidence: 81%
“…Retained surgical sponge can be followed by adhesion, abscess, ileus, intestinal necrosis and fistula [7], operation should be performed to remove the lesions. The most common reason of gossypiboma in abdomen is cholecystectomy,caesarian section, hysterectomy and laparotomy [a].Many risk factors of retained surgical sponge were identified, the most important factors are emergency surgery and unplanned changes in the operation [9][10][11]. Pain, palpable mass, and fever were the leading signs and symptoms [12].…”
Section: Discussionmentioning
confidence: 99%
“…Gossypiboma is a legal problem, and because of underreporting due to this, as well as cases in which the lesions are misdiagnosed, estimating the real incidence of gossypibomas may be difficult. The reported incidence of retained foreign bodies like sponges, needles, rubber tubing or parts of instruments following surgery ranges from 0.01% to 0.001%, of which gossypibomas comprise up to 80% of cases (7). Obesity, emergency conditions, number of surgeons and change of surgical teams, and massive hemorrhage are risk factors of this complication.…”
Section: Discussionmentioning
confidence: 99%